Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $6.93	Facility		$4.00	$4.00	$6.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.10 / $5.25	Professional		$2.29	$3.10	$5.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.86 / $4.41	Facility		$3.24	$3.86	$4.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.12 / $3.12 / $3.12	Professional		$3.12	$3.12	$3.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $1.76 / $1.76	Professional		$1.76	$1.76	$1.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $1.76 / $1.76	Professional		$1.76	$1.76	$1.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $2.42 / $40.00	Professional		$2.42	$2.42	$40.00